What Does Husky C Cover? Eligibility & How to Apply
Navigate Husky C healthcare coverage in Connecticut. Understand eligibility, covered services, and the application process for this state program.
Husky C represents a specific component of Connecticut’s comprehensive Medicaid program, known collectively as HUSKY Health. This program aims to provide healthcare coverage to certain adult populations within the state who meet specific criteria related to age, disability, and financial resources. Its primary goal is to ensure access to necessary healthcare for eligible residents.
Who Qualifies for Husky C
Eligibility for Husky C depends on several factors, including residency, age, disability status, and financial criteria. Applicants must be Connecticut residents and United States citizens or qualified non-citizens residing in the country for at least five years. This program primarily serves adults aged 65 and older, as well as individuals between 18 and 65 years old who are blind or have a qualifying disability.
Income limits vary depending on the specific Husky C sub-program. For a single person, the standard monthly income limit is around $835, while for a married couple, it is approximately $1,128. These figures are subject to annual adjustments.
Asset limits also apply to Husky C. A single applicant is restricted to $1,600 in countable assets. For a married couple, the asset limit is $2,400. Certain assets, such as a primary residence, may be excluded from this calculation.
A distinct component under Husky C is Medicaid for Employees with Disabilities, also known as MED-Connect. This program supports individuals with disabilities who are working, allowing for higher income and asset thresholds. For MED-Connect, the annual income limit is up to $75,000, and asset limits are $10,000 for a single adult and $15,000 for a married couple. Individuals whose income exceeds the standard limits for Husky C may still be able to qualify through a “spend-down” program. This involves using excess income on medical expenses until their countable income falls below the program’s threshold.
Healthcare Services Covered by Husky C
Husky C provides comprehensive healthcare services. All covered services must be considered medically necessary. The program covers routine doctor visits, including primary care and specialist consultations, along with inpatient and outpatient hospital services. Emergency services, preventive care, laboratory tests, and X-rays are included.
Prescription drug coverage is a benefit under Husky C. While most prescription medications are covered, the program prefers generic versions of drugs when available. If a brand-name drug or a non-preferred medication is required, special authorization from a healthcare provider may be necessary. There are no co-payments for prescription drugs for Husky C members.
Mental health and substance use disorder services are part of the Husky C benefit package. These services are managed through the Connecticut Behavioral Health Partnership. Coverage extends to various treatments, including individual therapy, group therapy, and both outpatient and inpatient services. There are no co-payments for mental health or psychiatric services under Husky C.
Dental services are provided through the Connecticut Dental Health Partnership. This includes medically necessary dental procedures, although not all dental treatments are covered, and some may require prior authorization. Vision care is also covered, encompassing eye exams, prescription eyeglasses (including frames and lenses), and vision screenings. For adults aged 21 and older, there may be limitations on the type of frames and lenses, and one pair of glasses is covered every 24 months unless a new pair is medically necessary.
Additional covered services include long-term care options such as nursing facility care and home and community-based services, often provided through Medicaid waivers. Durable medical equipment, hearing aids, and various therapies like physical, occupational, and speech therapy are also included. Non-emergency medical transportation to healthcare appointments and smoking cessation programs are benefits.
Applying for Husky C Coverage
The application process for Husky C offers multiple avenues for submission. Individuals can apply online through the ConneCT portal at connect.ct.gov. Alternatively, applicants can complete a paper application form, such as the W-1E Application for Benefits, and mail it to the DSS ConneCT Scanning Center. For those who prefer in-person assistance, completed applications can be dropped off at a local Department of Social Services (DSS) Regional Office.
When submitting an application, specific types of documentation are necessary to verify eligibility. This includes proof of identity, such as a driver’s license or passport. Applicants will also need to provide documentation of their United States citizenship or qualified non-citizen status. Verification of all sources of income, both earned (e.g., pay stubs or a letter from an employer) and unearned (e.g., Social Security Administration benefits or pension statements), is required. Additionally, documentation of asset values, such as bank account statements or details of life insurance policies, must be included.
After the application is submitted, a review process begins. If the information provided cannot be electronically verified, the DSS may request additional documentation. Eligible applicants are granted an opportunity period of up to 90 days following enrollment to furnish any outstanding verification documents.
Once a decision is made, applicants are notified. If approved, members receive a Connect Card, which serves as their identification for accessing healthcare services. In some cases, new enrollees may be assigned to a managed care organization to coordinate their care.